NPIMap

Organization Active NPI

Dental Associates of Buckhead, P.C.

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1386810836
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012454 Issued in GA
Legal business name
DENTAL ASSOCIATES OF BUCKHEAD, P.C.
Practice address
309 E Paces Ferry Rd NE
Suite 611
Atlanta, GA 30305-2367
Phone
(404) 261-3091
Fax
(404) 261-0048
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lori Spence
Title
Office Manager
Phone
(404) 261-3091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN012454 GA Primary

Addresses

Primary practice location

309 E Paces Ferry Rd NE
Suite 611
Atlanta, GA 30305-2367

Mailing address

309 E Paces Ferry Rd NE
Suite 611
Atlanta, GA 30305-2367
Phone (404) 261-3091

National Provider Directory

National Provider Directory

Locations

309 E Paces Ferry Rd NE
Ste 611
Atlanta, GA 30305
Phone (404) 261-3091

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1386810836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E PACES FERRY RD NE",
            "address_2": "SUITE 611",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052367",
            "telephone_number": "404-261-3091",
            "fax_number": "404-261-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E PACES FERRY RD NE",
            "address_2": "SUITE 611",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052367",
            "telephone_number": "404-261-3091",
            "fax_number": "404-261-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF BUCKHEAD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-261-3091",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.